Date: 20 February 1944
Cert: 09961
Place of Death: County: Knott City or
Town: Hollybush
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hollybush, Ky.
Street No.: Rural
Full Name: Wilson TRIPLETT
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Cordelia SLONE
Age of husband or wife if alive: 66 years
Birth date of deceased: 23 December 1872
Age: 71 years, 02 months, 27 days
Birthplace: Knott Co., Ky.
Occupation: Farmer
Industry or business: Farming
Father Name: William TRIPLETT
Father Birthplace: North Carolina
Mother Maiden Name: Polly Ann SLONE
Mother Birthplace: Knott County, Ky.
Informant: Delia THORNSBERY, Hollybush, Ky.
Burial Place: Hollybush, Ky.
Date: 23 February 1944
Signature of funeral director: Leonard Slone, Hollybush,
Ky.
Date received by local registrar: 29 April 1944
Registrar's Signature: Ida Livingston
Date of Death: 20 February 1944
I hereby certify that I attended deceased from 19 February
1944 to
20 February 1944, that I last saw him alive on 20 February
1944, and that death
occurred on the date stated above at 6 a.m.
Immediate cause of death: Absess of the bowels
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: 05 March 1944
Transcribed by Debbie Tamborski, 26 November 2010 |